The 3rd Industrial Revolution: Transforming Healthcare As We Know It?

Gord Graylish, General Manager, ESS Vice President, Intel Corp

Keynote flow

• 16 min Block 1: Third Industrial shift and 5 tectonic shifts – Gord » Internet of things video (2:14)

» 8 slides

• 12 min Block 2: Client Compute Continuum: MPOC – Mark » MPOC Demo (3 min)

» 9 slides (6 min)

» MPOC 3 video (3 min)

• 4 min Block 3: Cloud and Kaiser Hawaii – Gord » 5 slides

• 3 min Block 4: Security – Gord » 3 slides

• 8 min Block 5: Dr. Peter Schro – Guest » 1 min Pavel intro

» 7 min Dr. Schro

• 2 min Closing – Gord

44 minutes total

PLACEHOLDER FOR INTERNET MINUTE VIDEO

What’s

Going On?

What’s Going On?

We are still at the dawning of the third era… ...A new economic narrative is being written.

* The Third Industrial Revolution: How Lateral Power is Transforming Energy, the Economy, and the World by Jeremy Rifkin, president of the Foundation on Economic Trends

Steam and coal

Railways

Factories

Printing press – mass education

1.0 Internet, molecular

biology, renewable

energy sources

Super information

highways

Smart ―everything‖

3.0 *

Electrification, comms, oil, combustion engine

New materials

Highways, automobiles

Mass production

2.0

1760’s……. Late 1990’s……. 1860’s…….

Rate of Change Will Approach Light Speed

1752 Ben Franklin proved that static electricity and lightning were the same – this paved the way for the future

1800 first electric

battery introduced

1821 Faraday

invented the first electric

motor

1835 First electric

relay invented

1844 Morse invented the telegraph 1879

first light bulb – Thomas Edison

1882 First DC power

station

1891 First AC power station

1750 1760 1770 1780 1790 1800 1810 1820 1830 1840 1850 1860 1870 1880 1890 1900 1910 1920 1930 1940

1910 Generation and distribution systems build out

Rate of Change Will Approach Light Speed

1920 <10% of British households wired connected

Late 1920’s Electricity becoming pervasive

1752 Ben Franklin proved that static electricity and lightning were the same – this paved the way for the future

1800 first electric

battery introduced

1821 Faraday

invented the first electric

motor

1835 First electric

relay invented

1844 Morse invented the telegraph 1879

first light bulb – Thomas Edison

1882 First DC power

station

1891 First AC power station

1750 1760 1770 1780 1790 1800 1810 1820 1830 1840 1850 1860 1870 1880 1890 1900 1910 1920 1930 1940

1910 Generation and distribution systems build out

Rate of Change Will Approach Light Speed

1951 First Commercial Computer (Ferranti Mark 1)

1959 Integrated Circuit is patented (Noyce/Kilby)

1969 ARPANET (internet

forerunner)

1971 First microprocessor (Intel 4004)

1997 Google.com registered

1983 First IBM PC compatible

laptops

2003 Intel Centrino.

WiFi Hot spots. Broadband

1991 Tim Berners Lee publishes World

Wide Web

1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015

Rate of Change Will Approach Light Speed

1951 First Commercial Computer (Ferranti Mark 1)

1959 Integrated Circuit is patented (Noyce/Kilby)

1969 ARPANET (internet

forerunner)

1971 First microprocessor (Intel 4004)

1997 Google.com registered

1983 First IBM PC compatible

laptops

2003 Intel Centrino.

WiFi Hot spots. Broadband

1991 Tim Berners Lee publishes World

Wide Web

1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015

2004 Facebook launched

2007 iPhone launched

2010 iPad launched, other Android tablets follow

2012 Embedded Intelligence in WTC

“if the Internet were a movie we’d still be in the opening credits”

… Re-imagining the World at Light Speed

From the Obvious…

Knowledge

Educating

Shopping

Travelling

Sharing

Industries established over a Century re-architected in under a Decade

Communicating

Entertaining

to

to

to

to

to

to

to

The Way We Work

Construction New Services Smart Grid

Agriculture

Hotels

Cars

Google

Home

When the impossible… becomes possible

to

to

to

to

to

to

to

… Re-imagining the World at Light Speed

From the Obvious…

TODAY WE WILL DISCUSS HOW SOME OF THESE ARE

EFFECTING THE MEDICAL FIELD

OBSERVATIONS OVER THE LAST 12 MONTHS

KEY IT CHALLENGES

Cloud Client

Continuum Internet

of Things Security Big Data

OBSERVATIONS OVER THE LAST 12 MONTHS

KEY IT CHALLENGES

Cloud Client

Continuum Internet

of Things Security Big Data

New Business + Usage Models

…by 2015

>1 Zetabyte Internet Traffic3

>15 Bn Connected Devices2

>1 Bn More Netizen’s1

Tectonic Shifts

Energy

Transport

Retail

Healthcare

Smart Cities

Finance

Tectonic Shifts: Infrastructure Enabling New Horizons

Client Compute Continuum

Patients

Clinicians

Transform

Patient

Experience

Transform

Healthcare

New Experience • Context aware

• Immersive / Interactive

• Intuitive, accessible

and natural

Just “being on the Internet” is not good enough.

Real-time Collaboration in Action

Mobility and Collaboration in Health IT

Source: http://www.youtube.com/watch?v=Fh520P56wQ8

Connection to peripherals

and other devices

Enhanced end-to-end security

& manageability

Multitasking

Real-time performance + communication

= real-time collaboration

Access anywhere

Going Mobile drives better workflows

Finding the Best Platform Fit: Usage Models Drive Design of Mobile Solution

Grab and Go Wheel Walk and Dock

Patient-to-patient,

home care,

1st responder

Hospital rounds,

1st responder

Patient care and

office work

One Size Does Not Fit All

Goal: Usable, accepted, manageable, secure Intel MPOC

Selector Tool

Select best compute model

Engage end-

users early and

throughout

1

Define

use cases,

workflows, and

requirements

2

Jointly select

the best mobile

device(s)

3

Conduct a

security and

privacy risk

analysis

4

Select the best

compute model

5

mHealth Drives

Care Coordination

and Collaborative

Workflows

2. Comprehensive information

3. Data exchange and information sharing

4. Data access everywhere

1. A team approach

Coordinating Care with Collaborative Workflows

Collaboration requires a reliable, secure IT infrastructure at a reasonable cost

Support Care Coordination for Better Outcomes, Mobilized Data is Critical

GATHER &

Store Data

SHARE

the Data

MOBILIZE

Data

EMPOWER

Citizens

Coordination Across the Continuum: Mobile Data is Key to Workflow

Data

Exchange

Data

Exchange

Personal

Health

Record

Electronic

Health

Record

Health Check Up

Self Check

& Control

Home

Visiting

Care

Pharmacy

Long Term

Care

Academic/Research

Hospital

Remote

Diagnostic

Community

Hospital

Clinic

Emergency

Patient-centric Care

Real-time Collaboration in Action

Mobility and Collaboration in Health IT

Source: http://www.youtube.com/watch?v=Fh520P56wQ8

Possible Collaborative Workflows to Consider

EMS: Treat in Place EMT / Doc / Homecare nurse / Community care worker

ED Discharge to Home Doc / Homecare nurse / Community care worker

Consults Acute Inpatient Doc / Doc / Therapists / Pharmacist / etc.

Consults Chronic Disease Outpatient Doc / Therapists / Homecare nurse / Community care worker / etc.

Homecare Doc / Homecare nurse / Community care worker

MPOC 3 video

INTERNAL ONLY, HIDDEN SLIDE

Collaborative Workflows:

Out of the EMR Cloud

0

1

2

3

4

5

6

1999 2000 2001 2002 2003 2004 2005 2006 2007

Secure messaging

Scheduld phone visits

Office visits

Kaiser Hawaii: By 2007, 30 % of care was no longer Face-to-Face

Kaiser’s next step: real-time video conferencing

Distribution of Patient Contacts Over Time Among Kaiser Permanente (KP) Hawaii Members, 1999–2007 Chen C et al. Health Aff 2009;28:323-333 ©2009 by Project HOPE - The People-to-People Health Foundation, Inc.

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2010 2011 2012 2013 2014 2015 2016 2017

World Telehealth Patients (thousands) By Disease

Others

Mental Health

Hypertension

Diabetes

COPD

CHF

Worldwide Telehealth Patients Growing to 1.7 Million Visits in 5 years

The World Market for Telehealth – An Analysis of Demand Dynamics – 2012 INMedica, IMS Research

Access to Cloud Accelerates Access to Healthcare Worldwide

Security

Average cost per breached healthcare record is $240 which is

24% higher than average.

In 2013, 48% of reported data breaches in the U.S.

have been in the medical/healthcare industry.

Over 608,087,870 records exposed in

security breaches since 2005.

1. http://www.symantec.com/about/news/resources/press_kits/detail.jsp?pkid=ponemon-cost-of-a-data-breach-2011; 2. http://www.idtheftcenter.org/artman2/publish/lib_survey/ITRC_2008_Breach_List.shtml; 3. http://www.privacyrights.org/data-breach

Cyber Crime is a $1Trillion Dollar Business

ITRC Breach Report, Identity Theft Resource Center, May 2013²

Ponemon Institute—2011 U.S. Cost of a Data Breach Study¹

A Chronology of Data Breaches, Privacy Rights Clearinghouse, June 2013³

Security Concerns Are Top of Mind in Healthcare

34%

38%

40%

48%

52%

0% 10% 20% 30% 40% 50% 60%

Financial liability of violating

privacy laws

Breached data

Encrypting data on mobile

devices

Encrypting transmission of sent

data

Mobile device loss/theft

Security was the most

important attribute when

evaluating mobile devices

In the United States where

patient information is

protected by HIPAA, financial

liability of HIPAA violation

was a top 3 concern

Source: IDC Health Insights 2012

The Future of Security

Data Protection

from Malware

Execution

Control

Transparent Security

Anytime Anywhere

Data and System

Recovery

Fast and Easy Login

Identity and

Attestation

Quick Access to

Information,

Quick Help to

Patient

An infant with pulmonary

hypertension & pneumothorax

MUDr. Peter Krcho, PhD.

NICU Neonatal Clinic

Košice Slovakia

Data working with

• Information based medicine - applied in emergency situations

• Evidence based medicine – applied in clinical practice

Information based medicine

RIGHT SIDE PTX and

pneumomediastinum

Evidence based medicine

Switch to the visualisation system, demo of the reviews and selection scans from tablet using secured wifi network.

Data availability in all places

Advantages

• Different communication tools

• Consultation in community of nurses and physicians

• Data availability everywhere in the region

• Consultation possibility on regional and international level

• New application possibilities coming out during clinical practice

THE OUTCOME OF OUR CRITICALLY ILL, FINALLY HEALTHY NEWBORN...

Tectonic Shifts: Transforming How You Deliver Care

Client

Continuum

Internet

of Things Big Data Cloud Security

mHealth You will have several devices

surrounding you. You choose the

right device for the right task.

Cloud You and your patients will be

able to access data anytime,

anywhere, on any device.

Security Lock up your data not your

device. Take your device

with you.

Need to think about key takeaways and call to action

Thank You